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Efficacy Study of Gemcitabine-Paclitaxel to Treat Metastatic Breast Cancer

Phase II Study of Gemcitabine-Paclitaxel 3-Weekly Schedule as First-Line Treatment in Metastatic Breast Cancer After Anthracycline Failure

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00316199
Enrollment
60
Registered
2006-04-20
Start date
2006-04-30
Completion date
2008-04-30
Last updated
2009-06-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Metastatic Breast Cancer

Brief summary

The purpose of this study is to determine the response rate to a gemcitabine-paclitaxel combination administered on a 3-weekly schedule in Chinese patients with unresectable, locally recurrent breast cancer or metastatic breast cancer.

Interventions

DRUGgemcitabine

1250 mg/m2, intravenous (IV), day 1 and day 8 every 21 days until disease progression

DRUGpaclitaxel

175 mg/m2, intravenous (IV), every 21 days until disease progression

Sponsors

Eli Lilly and Company
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Female patients of Chinese origin with histologically or cytologically proven diagnosis of breast cancer. * Unresectable, locally recurrent breast cancer or stage IV disease. * Have at least one measurable lesion as defined by Response Evaluation Criteria In Solid Tumors (RECIST) criteria. * Performance Status of 0 or 1 on the Eastern Cooperative Oncology Group (ECOG) Scale * Treatment with an anthracycline-based chemotherapy regimen in the adjuvant/neoadjuvant setting with subsequent disease relapse.

Exclusion criteria

* Prior chemotherapy for unresectable, locally advanced breast cancer or metastatic disease. * Concurrent administration of any other tumor therapy, including cytotoxic chemotherapy, hormonal therapy, and immunotherapy. * Known or suspected brain metastasis or second primary malignancy that is clinically detectable at the time of consideration for study enrollment. * Active infection or other serious condition. * Pregnant or breastfeeding.

Design outcomes

Primary

MeasureTime frameDescription
Best Overall Tumor Responsebaseline to measured progressive disease (tumor assessments were performed every 2 cycles during study therapy, or 3 months during post-therapy until disease progression, or up to 12 months after enrollment)Best response recorded from the start of treatment until disease progression/recurrence using Response Evaluation Criteria In Solid Tumors (RECIST) criteria that defines when participants improve (respond), stay the same (stable), or worsen (progression) during treatment.

Secondary

MeasureTime frameDescription
Time to Treatment Failurebaseline to stopping treatmentDefined as time from enrollment to the date of death due to any cause, measured disease progression, treatment discontinuation for undocumented progression, early treatment discontinuation for toxicity or other reason, or new anticancer treatment started.
Progression-Free Survivalbaseline to measured progressive disease or death (tumor assessments were performed every 2 cycles during study therapy, or 3 months during post-therapy until disease progression, or up to 12 months after enrollment)Defined as the time from enrollment to the date of objective disease progression or death on study, whichever occurs first. Censoring was determined based on US-FDA 2005 draft guidance on clinical endpoints.
Duration of Responsetime of response to measured progressive disease or death (tumor assessments were performed every 2 cycles during study therapy, or 3 months during post-therapy until disease progression, or up to 12 months after enrollment)Measured from the time of first documentation of complete response (CR) or partial response (PR), whichever status is first recorded, until the date of objective disease progression or death on study, whichever occurs first, with censoring defined in the same way as for progression-free survival.
Overall Survival Probabilitybaseline to date of death from any causeOriginal outcome was overall survival = time from date of enrollment to date of death due to any cause. Survival time was censored at date of last contact for participants who were still alive or lost to follow-up. Because only 8 participants had documented death while on study, results are reported as 6- and 12-month overall survival probability.

Countries

China

Participant flow

Participants by arm

ArmCount
Gemcitabine + Paclitaxel
Gemcitabine: 1250 mg/m2, intravenous (IV), day 1 and day 8 every 21 days until disease progression. Paclitaxel: 175 mg/m2, intravenous (IV), every 21 days until disease progression
60
Total60

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event2
Overall StudyDeath8
Overall StudyLost to Follow-up2

Baseline characteristics

CharacteristicGemcitabine + Paclitaxel
Age Continuous46.9 years
STANDARD_DEVIATION 8.96
Disease Stage at Study Entry
Stage IIIB
6 participants
Disease Stage at Study Entry
Stage IV
54 participants
Eastern Cooperative Oncology Group Performance Status
0 - Fully Active
30 participants
Eastern Cooperative Oncology Group Performance Status
1 - Ambulatory, Restricted Strenuous Activity
30 participants
Height160.3 centimeters
STANDARD_DEVIATION 4.35
Menopausal Status
Missing
2 participants
Menopausal Status
Peri-Menopausal
7 participants
Menopausal Status
Post Menopausal
22 participants
Menopausal Status
Pre-Menopausal
29 participants
Pathological Diagnosis
Adenocarcinoma
3 participants
Pathological Diagnosis
Comedocarcinoma
0 participants
Pathological Diagnosis
Infiltrating Ductal Breast Carcinoma
55 participants
Pathological Diagnosis
Infiltrating Lobular Carcinoma
0 participants
Pathological Diagnosis
Missing
1 participants
Pathological Diagnosis
Undifferentiated Breast Carcinoma
1 participants
Race/Ethnicity
East Asian (Chinese)
60 participants
Region of Enrollment
China
60 participants
Sex: Female, Male
Female
60 Participants
Sex: Female, Male
Male
0 Participants
Weight62.68 kilograms
STANDARD_DEVIATION 9.518

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
59 / —
serious
Total, serious adverse events
1 / —

Outcome results

Primary

Best Overall Tumor Response

Best response recorded from the start of treatment until disease progression/recurrence using Response Evaluation Criteria In Solid Tumors (RECIST) criteria that defines when participants improve (respond), stay the same (stable), or worsen (progression) during treatment.

Time frame: baseline to measured progressive disease (tumor assessments were performed every 2 cycles during study therapy, or 3 months during post-therapy until disease progression, or up to 12 months after enrollment)

Population: All enrolled participants diagnosed with metastatic breast cancer, had measurable disease at baseline, and received at least one dose of study drug. Two participants were excluded from analysis because they received chemotherapy for locally advanced/metastatic breast cancer within 6 months prior to enrollment.

ArmMeasureGroupValue (NUMBER)
Gemcitabine + PaclitaxelBest Overall Tumor ResponseComplete Response (CR)2 participants
Gemcitabine + PaclitaxelBest Overall Tumor ResponsePartial Response (PR)27 participants
Gemcitabine + PaclitaxelBest Overall Tumor ResponseStable Disease (SD)20 participants
Gemcitabine + PaclitaxelBest Overall Tumor ResponseProgressive Disease (PD)7 participants
Gemcitabine + PaclitaxelBest Overall Tumor ResponseEarly Death from Malignant Disease0 participants
Gemcitabine + PaclitaxelBest Overall Tumor ResponseDeath from Toxicity0 participants
Gemcitabine + PaclitaxelBest Overall Tumor ResponseEarly Death from Other Causes0 participants
Gemcitabine + PaclitaxelBest Overall Tumor ResponseUnknown2 participants
Secondary

Duration of Response

Measured from the time of first documentation of complete response (CR) or partial response (PR), whichever status is first recorded, until the date of objective disease progression or death on study, whichever occurs first, with censoring defined in the same way as for progression-free survival.

Time frame: time of response to measured progressive disease or death (tumor assessments were performed every 2 cycles during study therapy, or 3 months during post-therapy until disease progression, or up to 12 months after enrollment)

Population: Enrolled participants who were considered responders (had either a complete response or partial response).

ArmMeasureValue (MEDIAN)
Gemcitabine + PaclitaxelDuration of Response5.6 months
Secondary

Overall Survival Probability

Original outcome was overall survival = time from date of enrollment to date of death due to any cause. Survival time was censored at date of last contact for participants who were still alive or lost to follow-up. Because only 8 participants had documented death while on study, results are reported as 6- and 12-month overall survival probability.

Time frame: baseline to date of death from any cause

Population: All enrolled participants. Fifty-two participants were censored.

ArmMeasureGroupValue (NUMBER)
Gemcitabine + PaclitaxelOverall Survival Probability6-Month Overall Survival Probability97 percent
Gemcitabine + PaclitaxelOverall Survival Probability12-Month Overall Survival Probability87 percent
Secondary

Progression-Free Survival

Defined as the time from enrollment to the date of objective disease progression or death on study, whichever occurs first. Censoring was determined based on US-FDA 2005 draft guidance on clinical endpoints.

Time frame: baseline to measured progressive disease or death (tumor assessments were performed every 2 cycles during study therapy, or 3 months during post-therapy until disease progression, or up to 12 months after enrollment)

Population: All enrolled participants. Forty-two participants were censored.

ArmMeasureValue (MEDIAN)
Gemcitabine + PaclitaxelProgression-Free Survival7.6 months
Secondary

Time to Treatment Failure

Defined as time from enrollment to the date of death due to any cause, measured disease progression, treatment discontinuation for undocumented progression, early treatment discontinuation for toxicity or other reason, or new anticancer treatment started.

Time frame: baseline to stopping treatment

Population: All enrolled participants. Time to treatment failure for participants who are still participating in the study without treatment failure at the time of analysis will be treated as censored at thte date of the last tumor assessment (3 participants censored).

ArmMeasureValue (MEDIAN)
Gemcitabine + PaclitaxelTime to Treatment Failure4.5 months

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026